Moonrize Home Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MOONRIZE HOME HEALTH SERVICES

Practice address

9778 Katella Ave Ste 114
Anaheim, CA 92804-6446

Phone

(714) 585-9305

NPI assigned

Sep 16, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim Pham, RN

Title

Ceo

Phone

(714) 585-9305

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1861229668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9778 KATELLA AVE STE 117",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046446",
            "telephone_number": "714-585-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9778 KATELLA AVE STE 114",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046446",
            "telephone_number": "714-585-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONRIZE HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-585-9305",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Crisostomo Montoya
• Sade Danielle Montoya
• Marlen Monzon
• Elysia Moon
• Jin Woo Moon, D.C.
• Brianna Moore
• Bruce A Moore, OD
• Damien P. Moore, MD
• Patricia Moore
• Shiterra Moore

• Home Health Agency in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.